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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/safety-culture-ems
Defining a Just Culture
A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an
environmen…
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Reporting Patient Safety Events
Citation Text:
Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - Teamwork Training
Citation Text:
Teamwork Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Dow…
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psnet.ahrq.gov/node/73657/psn-pdf
September 01, 2021 - Communication failures contributing to patient injury in
anaesthesia malpractice claims.
September 1, 2021
Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in
anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016/j.bja.2021.05.030.
https://ps…
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psnet.ahrq.gov/node/855001/psn-pdf
November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for
Patients, Healthcare Providers and Leaders.
November 1, 2023
Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-
leaders
Patient saf…
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psnet.ahrq.gov/node/46802/psn-pdf
March 21, 2018 - The accuracy of trigger tools to detect preventable
adverse events in primary care: a systematic review.
March 21, 2018
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse
Events in Primary Care: A Systematic Review. J Am Board Fam Med. 2018;31(1):113-125.
doi:10.31…
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psnet.ahrq.gov/node/847043/psn-pdf
April 05, 2023 - An evidence synthesis on perioperative handoffs: a call
for balanced sociotechnical solutions.
April 5, 2023
Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for
balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. doi:10.1016/j.ijmedinf.2023.105038.
…
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psnet.ahrq.gov/node/74273/psn-pdf
January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its
Approach for Addressing Resident Complaints.
January 19, 2022
Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO-
22-105142.
https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…
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psnet.ahrq.gov/node/47553/psn-pdf
July 10, 2019 - Delivering high reliability in maternity care: in situ
simulation as a source of organisational resilience.
July 10, 2019
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of
organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019.
h…
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psnet.ahrq.gov/node/838133/psn-pdf
January 01, 2023 - Nurse managers' leadership, patient safety, and quality of
care: a systematic review.
September 21, 2022
Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic
review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/844057/psn-pdf
February 08, 2023 - Impact of medical education on patient safety: finding the
signal through the noise.
February 8, 2023
Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ
Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054.
https://psnet.ahrq.gov/issue/impact-medical-edu…
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psnet.ahrq.gov/node/73689/psn-pdf
September 08, 2021 - Exploring mediating effects between nursing leadership
and patient safety from a person-centred perspective: a
literature review.
September 8, 2021
Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a
person?centred perspective: a literature review. J Nurs Manag. 2021;…
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psnet.ahrq.gov/node/854389/psn-pdf
October 11, 2023 - Alliance for Innovation on Maternal Health: Consensus
Bundle on Sepsis in Obstetric Care.
October 11, 2023
Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on
Sepsis in Obstetric Care. Obstet Gynecol. 2023;142(3):481-492. doi:10.1097/aog.0000000000005304.
https://…
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psnet.ahrq.gov/node/46487/psn-pdf
May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing
for Code Blue Through Daily Operations in Healthcare.
May 16, 2018
van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN:
1974506371.
https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
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psnet.ahrq.gov/node/856636/psn-pdf
January 01, 2024 - Public opinion of resident physician work hours in 2022.
November 29, 2023
Weaver MD, Barger LK, Sullivan JP, et al. Public opinion of resident physician work hours in 2022. Sleep
Health. 2024;10(1supp):s194-s200. doi:10.1016/j.sleh.2023.08.016.
https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-ho…
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psnet.ahrq.gov/node/72844/psn-pdf
March 17, 2021 - Medical crisis checklists in the emergency department: a
simulation-based multi-institutional randomised
controlled trial.
March 17, 2021
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency
department: a simulation-based multi-institutional randomised controlled tri…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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psnet.ahrq.gov/node/865480/psn-pdf
April 03, 2024 - A narrative review of the well-being and burnout of U.S.
community pharmacists.
April 3, 2024
Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S.
community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.2023.11.017.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/44916/psn-pdf
June 01, 2016 - Implementing situation-background-assessment-
recommendation in an anaesthetic clinic and subsequent
information retention among receivers: a prospective
interventional study of postoperative handovers.
June 1, 2016
Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation-background-assessment-
recommend…